N35.011 Post-traumatic bulbous urethral stricture

ICD10CM code

#### Name of the Condition
- Post-traumatic bulbous urethral stricture
- ICD-10-CM Code: N35.011

#### Summary
Post-traumatic bulbous urethral stricture is a condition characterized by the narrowing of the bulbous section of the urethra following an injury. This narrowing can impede the flow of urine and lead to further complications.

#### Causes
- Traumatic injury to the pelvic region or urethra, such as from a fall, car accident, or straddle injury.
- Previous surgical procedures affecting the urinary tract.

#### Risk Factors
- History of pelvic or urethral trauma.
- Previous surgeries involving the urethra.
- Infections that cause scarring of the urethra.

#### Symptoms
- Difficulty urinating or a weak urine stream.
- Increased frequency or urgency of urination.
- Pain during urination.
- Urinary tract infections.

#### Diagnosis
- Uroflowmetry to assess urine flow rate.
- Retrograde urethrogram or voiding cystourethrogram imaging.
- Cystoscopy to visualize the urethral stricture.

#### Treatment Options
- Urethral dilation to temporarily widen the stricture.
- Urethrotomy, a surgical procedure to cut the stricture.
- Open surgical reconstruction (urethroplasty) for more severe cases.

#### Prognosis and Follow-Up
- The prognosis is generally good with appropriate treatment, although recurrence is possible.
- Regular follow-up appointments are necessary to monitor for recurrence of the stricture.

#### Complications
- Chronic urinary tract infections.
- Bladder stones due to poor drainage.
- Possible kidney damage if left untreated.

#### Lifestyle & Prevention
- Avoid activities that risk urethral injury.
- Follow post-operative care instructions if surgical treatment is performed.

#### When to Seek Professional Help
- Inability to urinate completely or at all.
- Severe pain or fever, indicating potential complications like infection.

#### Additional Resources
- American Urological Association (AUA) - [www.auanet.org](https://www.auanet.org)
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) - [www.niddk.nih.gov](https://www.niddk.nih.gov)

#### Tips for Medical Coders
- Ensure the underlying traumatic cause is documented when coding.
- Verify the precise location of the stricture in the bulbous urethra to use the correct ICD code.
- Consider any additional codes for associated complications or injuries.

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